icd code sets · web viewthe icd-10 code set installation requires the modification of the icd...

70
ICD*18.0*57/LEX*2.0*80 ICD-10 i International Classification of Diseases, 10 th Edition, Clinical Modification (ICD- 10-CM) and Procedure Coding System (ICD- 10-PCS) Code Sets ICD*18.0 *57 LEX*2.0* 80 INSTALLATION

Upload: others

Post on 18-Feb-2021

1 views

Category:

Documents


0 download

TRANSCRIPT

ICD Code Sets

International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) andProcedure Coding System (ICD-10-PCS) Code Sets

ICD*18.0*57 LEX*2.0*80

INSTALLATION GUIDE Apr 21, 2014

Effective Oct 1, 2014

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

i

Table of Contents

Pre-Installation Information1Minimum Required Packages1Minimum Required Packages and Versions1Required, Companion and Other Builds2Required Builds2Companion Builds3Other Noteworthy Builds3New Files4Modified Files4New Options5Modified Options5New Routines5Modified Routines7Deleted Routines11New or Modified APIs (supported)11New APIs (by subscription)12Modified Documentation15Remedy Tickets15ICD-10 Code Set Installation Instructions16Common Installation Errors and Warnings16Control Character Error on Global Save16Full File Error during FTP/Global Load16WARNING: Install during Non-Peak Hours16WARNING: Users must be off of the system for the KIDS Install16WARNING: Place TaskMan in a Wait State for the Installation17WARNING: Installation will Temporarily Delete the ICD Coding Files17WARNING: Do not Interrupt the Installation17WARNING: Do not Queue this Installation17WARNING: Do not install if Window’s Updates are Scheduled/Pending17System Resource Requirements17Disk Capacity Requirements for ICD-1018ICD-10 Code Set Installation Instructions20Distribution20Estimated Timing20Install during non-peak hours21Users Must be off of the System21Documentation Retrieval21FTP Software Retrieval22Backup Preparation22Backup Globals22Place TaskMan in a Wait State for the Installation23Load Data from Global Host File23Environment23Distribution Load:24RECOMMENDATION: Users may be on the system up to this point24Inhibit Logons during the KIDS Installation24Installation will temporarily delete files 80 and 80.124KIDS Installation25Post-installation Cleanup25Restore TaskMan from the Wait State25APPENDIX A – Captured Install26Load Export Global ^LEXM26Load KIDS Distribution26Install KIDS Distribution.28Post-Install Message (example)34Cross-Reference Repair Message (example)35APPENDIX B – Checksums36Multi-Package Distribution Routine Summary36ICD*18.0*57 Checksums36LEX*2.0*80 Checksums37

1. Pre-Installation Information

The ICD-10 Implementation project is comprised of three major components. The first is a Kernel Installation and Distribution System (KIDS) distribution with two builds containing updated data dictionaries (DDs), application programmer interfaces (APIs), routines, and options. The first build is the ICD Coding System build and the second is the Lexicon Utility. The builds are contained in a single multi-package KIDS distribution and will be installed in the order listed below:

Global Host File Name:ICD_18_57.GBL

KIDS Host File Name:ICD_18_57.KID

Install Name:ICD*18.0*57

Order of

Installation

Install Name (to install)

Contents

1st

ICD_18_57.GBL

^LEXM (data)(using ^%GI)

2nd

ICD_18_57.KID

ICD*18.0*57

3rd

LEX*2.0*80

The second major component is a global host file containing the data.

Global Host File Name:ICD_18_57.GBL

The third component is the accompanying documentation, including Technical Manuals and User Manuals.

Lexicon Technical Manual Lexicon User Manual

ICD Technical Manual

1.1 Minimum Required Packages

Before installing ICD-10, make sure that your system includes the following Department of Veterans Affairs (VA) software packages and versions (those listed or higher).

1.2 Minimum Required Packages and Versions

PACKAGE

MINIMUM VERSION

COMMENT

DRG Grouper

18.0

Lexicon Utility

2.0

Kernel

8.0

TaskMan Running, place in WAIT state for the installation

MailMan

8.0

Running

VA FileMan

22.0

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

10

1.3 Required, Companion and Other Builds1.3.1 Required Builds

Build

Required Build

Released

Content

ICD*18.0*57

ICD*18.0*6

Sep 24, 2003

Code Set Versioning

ICD*18.0*12

Oct 08, 2004

Code Text Descriptors

ICD*18.0*15

Jun 09, 2005

Legacy APIs Fixes

ICD*18.0*29

Nov 15, 2007

ICD Legacy APIs Fixes

LEX*2.0*81

Feb 14, 2012

AWRD Cross-Reference fix

PSO*7.0*404

Aug 14, 2012

Global Read of ICD files

ONC*2.11*56

Sep 27, 2012

Global Read of ICD files

RA*5.0*112

Apr 17, 2013

Global Read of ICD files

ICD*18.0*62

May 01, 2013

DRG Grouper Fixes

GMPL*2.0*43

May 14, 2013

Global Read of ICD files

TIU*1.0*267

May 14, 2013

Global Read of ICD files

ICD*18.0*69

Jun 21, 2013

DRG Grouper Fixes

DG*5.3*870

Jul 15, 2013

Global Read of ICD files

IBD*3.0*64

Sep 03, 2013

Global Read of ICD files

LR*5.2*429

Sep 18, 2013

Global Read of ICD files

ACKQ*3.0*22

Dec 12, 2013

Global Read of ICD files

LEX*2.0*94

Jan 14, 2014

FY14 2nd Qtr Data Update

LEX*2.0*80

LEX*2.0*25

Sep 24, 2003

Code Set Versioning

LEX*2.0*30

Oct 08, 2004

Code Text Descriptors

LEX*2.0*62

May 06, 2009

Code Set Queries

LEX*2.0*81

Feb 14, 2012

AWRD Cross-Reference fix

PSO*7.0*404

Aug 14, 2012

Global Read of ICD files

ONC*2.11*56

Sep 27, 2012

Global Read of ICD files

RA*5.0*112

Apr 17, 2013

Global Read of ICD files

ICD*18.0*62

May 01, 2013

DRG Grouper Fixes

GMPL*2.0*43

May 14, 2013

Global Read of ICD files

TIU*1.0*267

May 14, 2013

Global Read of ICD files

ICD*18.0*69

Jun 21, 2013

DRG Grouper Fixes

DG*5.3*870

Jul 15, 2013

Global Read of ICD files

IBD*3.0*64

Sep 03, 2013

Global Read of ICD files

LR*5.2*429

Sep 13, 2013

Global Read of ICD files

ACKQ*3.0*22

Dec 12, 2013

Global Read of ICD files

LEX*2.0*94

Jan 14, 2014

FY14 2nd Qtr Data Update

1.3.2 Companion Builds

These builds are not required, but should be installed shortly after ICD*18.0*57 to address problems with both the ICD-10 and Legacy ICD-9 environments.

Patch

Content

Comment

LR*5.2*422

Anatomic Pathology ICD-10

Required by LR*5.2*421

LR*5.2*421

Emerging Pathogens ICD-10

Requires LR*5.2*422

These builds are not required. They make changes to the DRG Grouper component of the package.

Patch

Released

Content

ICD*18.0*60

Pending

DRG ICD-10 Class I Remediation

ICD*18.0*64

Pending

ICD-10 DRG Grouper

1.3.3 Other Noteworthy Builds

Applications that access ICD data have been modified to use ICD-10 data. These changes are exported in to the following patches:

Patch

Package/Content

PX*1.0*199

Patient Care Encounter

IBD*3.0*63

Encounter Forms

SR*3.0*177

Surgery

GMPL*2*42

Problem List

IB*2.0*461

Integrated Billing

GMRC*3.0*73

Consults

OR*3.0*361

Order Entry

FB*3.5*139

Fee Basis

MC*2.3*44

Medicine

ICD*18.0*64

DRG Grouper

DG*5.3*850

Admission, Discharge, Transfer (ADT)

IBD*3.0*65

Encounter Forms

GMTS*2.7*101

Health Summary

RMPR*3*168

Prosthetics

OR*3*353

Group Notes

MD*1.0*29

Clinical Procedures

EC*2*114

Event Capture

EDP*2.0*2

Emergency Department

DSIF*3.2*37

Fee Basis Claims System (FBCS)

MC*2.3*43

Medicine

TIU*1.0*263

Text Integration Utilities

OR*3.0*365

Order Entry for CPRS 29

GMPL*2.0*44

Problem List/Clinical Reminders

PXRM*2.0*26

Clinical Reminders

DG*5.3*862

Patient Treatment File

ICD*18.0*60

DRG Grouper

SD*5.3*586

Scheduling

PRCA*4.5*281

Accounts Receivable

SD*5.3*593

Ambulatory Care

ROR*1.5*19

Clinical Case Registries

HBH*1*25

Hospital Based Home Care

ECX*3*138

DSS Extracts

YS*5.01*107

Mental Health

ACKQ*3*21

QUASAR

SPN*3.0*3

Spinal Cord

PSU*4*19

Pharmacy Benefits Management

1.4 New Files

Application

File Name

File Number

Global Root

ICD Grouper v 18.0

ICD CODING SYSTEMS

80.4

^ICDS(

DRG DIAGNOSIS IDENTIFIER CODES

82

^ICDID(

DRG PROCEDURE IDENTIFIER CODES

82.1

^ICDIP(

DRG CC EXCLUSIONS

82.13

^ICDCCEX(

Lexicon Utility v 2.0

CHARACTER POSITIONS

757.033

^LEX(757.033,

1.5 Modified Files

Patch LEX*2.0*80 writes to the following files:

File Name

File Number

Global Root

ICR

ICD DIAGNOSIS

#80

^ICD9(

ICR 4485

ICD OPERATION/PROCEDURE

#80.1

^ICD0(

ICR 4486

MAJOR CONCEPT MAP

#757

^LEX(757,

N/A

CONCEPT USAGE

#757.001

^LEX(757.001,

N/A

EXPRESSIONS

#757.01

^LEX(757.01,

N/A

CODES

#757.02

^LEX(757.02,

N/A

CODING SYSTEMS

#757.03

^LEX(757.03,

N/A

EXCLUDED WORDS

#757.04

^LEX(757.04,

N/A

REPLACEMENT WORDS

#757.05

^LEX(757.05,

N/A

SEMANTIC MAP

#757.1

^LEX(757.1,

N/A

SUBSET DEFINITIONS

#757.2

^LEXT(757.2,

N/A

SUBSETS

#757.21

^LEX(757.21,

N/A

LOOK-UP SCREENS

#757.3

^LEX(757.3,

N/A

DISPLAYS

#757.31

^LEX(757.31,

N/A

1.6 New Options

Patch

Option Name

Option

LEX*2.0*80

Edit Search Threshold for a Coding

System

[LEX MGR EDIT SEARCH

THRESHOLD]

1.7 Modified Options

Patch

Option Name

Option

LEX*2.0*80

ICD-9 Diagnosis Code Set Query

[LEX CSV ICD QUERY]

ICD-9 Procedure Code Set Query

[LEX CSV ICP QUERY]

Code History

[LEX CSV HISTORY]

ICD/CPT Code Set Change List

[LEX CSV ICD/CPT CHANGE LIST]

Edit Lexicon

[LEX MGR EDIT LEXICON]

Edit Term Definition

[LEX MGR EDIT DEFN]

Edit Shortcuts by Context

[LEX MGR EDIT SHORTCUTS]

1.8 New Routines

Patch

Routine

Comment

ICD*18.0*57

ICDDIC

ICD DIC Prototype

ICDDICA

ICD DIC Prototype (ask)

ICDEX

ICD Data Extract

ICDEXA

ICD Data Extract replaces ICDAPIU

ICDEXA2

ICD Data Extract replaces ICDAPIU

ICDEXA3

ICD Data Extract replaces ICDAPIU

ICDEXC

ICD Data Extract replaces ICDCODE

ICDEXC2

ICD Data Extract replaces ICDCODE

ICDEXC3

ICD Data Extract replaces ICDCODE

ICDEXC4

ICD Data Extract replaces ICDCODE

ICDEXD

ICD Data Extract supports DRG

ICDEXD2

ICD Data Extract supports DRG

ICDEXD3

ICD Data Extract supports DRG

ICDEXD4

ICD Data Extract supports DRG

ICDEXD5

ICD Data Extract supports DRG

ICDEXH

ICD Data Extract Help

ICDEXLK

ICD Special Lookup Routine

ICDEXLK2

ICD Special Lookup Routine

ICDEXLK3

ICD Special Lookup Routine

ICDEXLK4

ICD Special Lookup Routine

ICDEXLK5

ICD Special Lookup Routine

ICDEXLK6

ICD Special Lookup Routine

ICDEXS

ICD Data Extract replaces ICDSUPT

ICDEXS2

ICD Data Extract replaces ICDSUPT

ICDIDX

Indexing routine replaces ICD0IDX and ICD9IDX

Patch

Routine

Comment

ICDIDX2

Indexing routine replaces ICD0IDX and ICD9IDX

ICDSAPI

ICD Search

ICDTOKN

Parse String into Words

ICDXCODE

Code Data

LEX*2.0*80

LEX10CS

ICD-10 Coding System Utilities

LEX10CS2

ICD-10 Coding System Utilities (cont)

LEX10CX

ICD-10 Suggestion Lookup

LEX10CX2

ICD-10 Suggestion Lookup – Source

LEX10CX3

ICD-10 Suggestion Lookup – Target

LEX10CX4

ICD-10 Suggestion Lookup – Prompt

LEX10CX5

ICD-10 Suggestion Lookup – Miscellaneous

LEX10DBC

ICD-10 Diagnosis Lookup by Code

LEX10DBR

ICD-10 Diagnosis Lookup by Root

LEX10DBT

ICD-10 Diagnosis Lookup by Text

LEX10DL

ICD-10 Diagnosis Lookup

LEX10DLS

ICD-10 Diagnosis Lookup Selection

LEX10DU

ICD-10 Diagnosis Utilities

LEX10DX

ICD-10 Diagnosis

LEX10PL

ICD-10 Procedure Lookup

LEX10PLA

ICD-10 Procedure Abbreviations

LEX10PLS

ICD-10 Procedure Selection

LEX10PR

ICD-10 Procedures

LEX10TAX

Post-ICD-10 Taxonomies

LEXDMGS

Manager Edit of Search Threshold

LEXHLP2

Help routine that includes ICD-10

LEXQC3

Expanded Query Change Option to include ICD-10

LEXQC4

Expanded Query Change Option to include ICD-10

LEXQL4

Expanded Query Lookup option to include ICD-10

LEXTOKN

Parse Text into Words

LEXTOKN2

Special Case Words

LEXU2

Lexicon Utilities CS Data API

LEXU3

Lexicon Utilities Implementation Date and CS

LEXU4

Lexicon Utilities PERIOD and HISTORY APIs

LEXUH

Lexicon Utilities Help

LEXXM

Mix Case

LEXXM1

Mix Case (1)

LEXXM2

Mix Case (2)

LEXXM3

Mix Case (3)

LEXXM4

Mix Case (4)

LEXXM5

Mix Case (5)

LEXXM6

Mix Case (+6)

LEXXMM

Mix Case (Miscellaneous)

1.9 Modified Routines

Patch

Routine

Comment

ICD*18.0*57

ICDAPIU

Calls data extraction ICDEX*

ICDCOD

Calls INQ^ICDEX

ICDCODE

Calls data extraction ICDEX*

ICDDRG

Calls data extraction ICDEX*

ICDDRGM

Calls data extraction ICDEX*

ICDGTDRG

Calls data extraction ICDEX*

ICDID

File Identifiers modified for ICD-10

ICDREF

Calls data extraction ICDEX*

ICDSUPT

Calls data extraction ICDEX*

LEX*2.0*80

LEXA

Removed reference to ^VA(200) ICR 10060

LEXA1

Modified output to include ICD-10

LEXA2

First 2 Lines Edited (SACC)

LEXA3

First 2 Lines Edited (SACC)

LEXA4

First 2 Lines Edited (SACC)

LEXAB

Changed how date is handled

LEXABC

Lookup by Code to include ICD-10

LEXABC2

First 2 Lines Edited (SACC)

LEXAFIL

First 2 Lines Edited (SACC)

LEXAL

Modify Frequency

LEXAL2

First 2 Lines Edited (SACC)

LEXALK

Changed how date is handled

LEXAM

First 2 Lines Edited (SACC)

LEXAMD

First 2 Lines Edited (SACC)

LEXAMD2

First 2 Lines Edited (SACC)

LEXAR

Changed how date is handled

LEXAR2

First 2 Lines Edited (SACC)

LEXAR3

Help Text includes ICD-10

LEXAR4

Changed how date is handled

LEXAR5

Includes ICD-10 in VAS Selection array

LEXAR6

Quit saving Unresolved Narratives

LEXAR7

Documentation only

LEXAS

First 2 Lines Edited (SACC)

LEXAS2

First 2 Lines Edited (SACC)

LEXAS3

First 2 Lines Edited (SACC)

LEXAS4

First 2 Lines Edited (SACC)

LEXAS5

First 2 Lines Edited (SACC)

LEXAS6

First 2 Lines Edited (SACC)

LEXAS7

First 2 Lines Edited (SACC)

LEXASC

Changed how date is handled

LEXASO

Changed how date is handled

Patch

Routine

Comment

LEXCODE

Added sub-routine Code

LEXDCC

Removed reference to ^VA(200) ICR 10060

LEXDCCC

First 2 Lines Edited (SACC)

LEXDCCS

First 2 Lines Edited (SACC)

LEXDCX

Removed reference to ^VA(200) ICR 10060

LEXDCXS

First 2 Lines Edited (SACC)

LEXDD1

Removed reference to ^VA(200) ICR 10060

LEXDD2

Removed reference to ^VA(200) ICR 10060

LEXDD3

First 2 Lines Edited (SACC)

LEXDD4

Removed reference to ^VA(200) ICR 10060

LEXDDS

Removed reference to ^VA(200) ICR 10060

LEXDDSD

First 2 Lines Edited (SACC)

LEXDDSP

Removed reference to ^VA(200) ICR 10060

LEXDDSS

First 2 Lines Edited (SACC)

LEXDDT1

First 2 Lines Edited (SACC)

LEXDDT2

First 2 Lines Edited (SACC)

LEXDDTC

First 2 Lines Edited (SACC)

LEXDDTD

First 2 Lines Edited (SACC)

LEXDDTF

First 2 Lines Edited (SACC)

LEXDDTV

First 2 Lines Edited (SACC)

LEXDFL

Removed reference to ^VA(200) ICR 10060

LEXDFLC

First 2 Lines Edited (SACC)

LEXDFLS

First 2 Lines Edited (SACC)

LEXDFLT

First 2 Lines Edited (SACC)

LEXDFN

First 2 Lines Edited (SACC)

LEXDFN2

Check for numeric subset

LEXDFSB

Documentation

LEXDFSE

Fix block mismatch error

LEXDFSI

First 2 Lines Edited (SACC)

LEXDFSO

First 2 Lines Edited (SACC)

LEXDFSS

Documentation only

LEXDFST

First 2 Lines Edited (SACC)

LEXDM

Documentation only

LEXDM2

Removed reference to ^VA(200) ICR 10060

LEXDM3

First 2 Lines Edited (SACC)

LEXDM4

Remove Defaults by Location

LEXDMG

First 2 Lines Edited (SACC)

LEXDMGO

Documentation only

LEXDMGT

Removed reference to ^VA(200) ICR 10060

LEXDMGU

Remove Defaults by Location

LEXDMGV

Remove Defaults by Location

LEXDSV

First 2 Lines Edited (SACC)

LEXDVO

Removed reference to ^VA(200) ICR 10060

Patch

Routine

Comment

LEXDVOS

Remove Defaults by Location

LEXEDF1

Documentation only

LEXEDF2

Documentation only

LEXERF

Documentation only

LEXERI

Documentation only

LEXHLP

Documentation only

LEXLK

First 2 Lines Edited (SACC)

LEXLK2

Documentation only

LEXMTLU

Documentation only

LEXNDX1

Documentation only

LEXNDX2

Documentation only

LEXNDX3

Documentation only

LEXNDX4

Force Uppercase Word Index

LEXNDX5

Documentation only

LEXNDX6

Force Uppercase Word Index

LEXNDX8

Added ICD-10 Cross-References

LEXPRNT

First 2 Lines Edited (SACC)

LEXQC

Includes ICD-10, remove ICD global reference

LEXQC2

Includes ICD-10, remove ICD global reference

LEXQCM

Modified to use first activation Date

LEXQCM2

Modified to use future date

LEXQCP

Modified to use first activation Date

LEXQCP2

Modified to use future date

LEXQCPA

Remove extra space character in code

LEXQH

History routine modified to include ICD-10

LEXQHL1

History routine modified to include ICD-10

LEXQHL2

History routine modified to include ICD-10

LEXQHL3

History routine modified to include ICD-10

LEXQHL4

History routine modified to include ICD-10

LEXQHL5

History routine modified to include ICD-10

LEXQHLM

History routine modified to include ICD-10

LEXQID

ICD DX Query modified to include ICD-10

LEXQID2

ICD DX Query modified to include ICD-10

LEXQID3

ICD DX Query modified to include ICD-10

LEXQID4

ICD DX Query modified to include ICD-10

LEXQIDA

ICD DX Query modified to include ICD-10

LEXQIP

ICD Proc Query modified to include ICD-10

LEXQIP2

ICD Proc Query modified to include ICD-10

LEXQIP3

ICD Proc Query modified to include ICD-10

LEXQIPA

ICD Proc Query modified to include ICD-10

LEXQL

Code Lookup modified to include ICD-10

LEXQL2

Code Lookup modified to include ICD-10

LEXQL3

Code Lookup modified to include ICD-10

Patch

Routine

Comment

LEXQM

Fix date prompt

LEXRX

Documentation only

LEXRXB

Documentation only

LEXRXC

Documentation only

LEXRXD

Documentation only

LEXRXE

Documentation only

LEXRXF

Change Parsing

LEXRXG

Documentation only

LEXRXD4

Modified for new Data Dictionary

LEXRXXP

Change Parsing

LEXRXXS

Documentation only

LEXRXXT3

Fix Subscript Error

LEXSC

Documentation only

LEXSC2

Documentation only

LEXSC3

Documentation only

LEXSET

Changed how date is handled

LEXSET2

First 2 Lines Edited (SACC)

LEXSET3

First 2 Lines Edited (SACC)

LEXSET4

First 2 Lines Edited (SACC)

LEXSET5

Removed reference to ^VA(200) ICR 10060

LEXSRC2

Added coding system

LEXTRAN

Modified how coding system retrieved

LEXTRAN1

Added CSI sub-routine (code system IEN)

LEXU

Added ICD-10 related sub-routines

LEXXFI

Documentation only

LEXXFI3

Documentation only

LEXXFI4

Documentation only

LEXXFI6

Documentation only

LEXXFI7

Documentation only

LEXXFI8

Documentation only

LEXXFQ

Documentation only

LEXXGI

Do not invoke the protocol (LEXNOPRO)

LEXXGI2

Do not invoke the protocol (LEXNOPRO)

LEXXGI3

Remove ICD global reference

LEXXGI4

Repair Indexes

LEXXII

Documentation only

LEXXII2

Documentation only

1.10 Deleted Routines

Patch

Routine

Comment

ICD*18.0*57

ICD1857

Environment Check, Deleted by Site

ICD1857P

Post-Install, Deleted by Site

ICD0IDX

ICD0 Indexing Routine

ICD9IDX

ICD9 Indexing Routine

LEX*2.0*80

LEX2080

Environment Check, Deleted by Site

LEX2080A

Post-Install, Deleted by Site

LEX2080B

Post-Install, Deleted by Site

LEX2080C

Post-Install, Deleted by Site

LEX2080P

Post-Install, Deleted by Site

LEXIENV

Old Environment Check

LEXILG

LEXILG* Old Post-Install

LEXILGD

LEXILG* Old Post-Install

LEXILGO

LEXILG* Old Post-Install

LEXILGP

LEXILG* Old Post-Install

LEXILGU

LEXILG* Old Post-Install

LEXILGX

LEXILG* Old Post-Install

LEXLGM

LEXLG* Lexicon Survey

LEXLGM2

LEXLG* Lexicon Survey

LEXLGM3

LEXLG* Lexicon Survey

LEXPL

LEXPL* Problem List Survey

LEXPLEM

LEXPL* Problem List Survey

LEXPLIA

LEXPL* Problem List Survey

LEXPLUP

LEXPL* Problem List Survey

LEXTOLKN

Parse Text into Words

LEXXST

LEXXST* Lexicon Status Report

LEXXST2

LEXXST* Lexicon Status Report

LEXXST3

LEXXST* Lexicon Status Report

LEXXST4

LEXXST* Lexicon Status Report

1.11 New or Modified APIs (supported)

Patch

API

ICR

ICD*18.0*57

$$ICDDX^ICDCODE

ICR 3990, Modified

$$ICDOP^ICDCODE

ICR 3990, Modified

$$ICDD^ICDCODE

ICR 3990, Modified

$$CODEN^ICDCODE

ICR 3990, Modified

$$CODEC^ICDCODE

ICR 3990, Modified

$$STATCHK^ICDAPIU

ICR 3991, Modified

$$NEXT^ICDAPIU

ICR 3991, Modified

$$PREV^ICDAPIU

ICR 3991, Modified

$$HIST^ICDAPIU

ICR 3991, Modified

Patch

API

ICR

$$DTBR^ICDAPIU

ICR 3991, Modified

$$MSG^ICDAPIU

ICR 3991, Modified

PERIOD^ICDAPIU

ICR 3991, Modified

$$ICDDATA^ICDXCODE

ICR 5699, New

$$ICDDESC^ICDXCODE

ICR 5699, New

$$STATCHK^ICDXCODE

ICR 5699, New

$$HIST^ICDXCODE

ICR 5699, New

$$NEXT^ICDXCODE

ICR 5699, New

$$PREV^ICDXCODE

ICR 5699, New

$$PERIOD^ICDXCODE

ICR 5699, New

SEARCH^ICDSAPI

ICR 5757, New

LEX*2.0*80

$$PCSDIG^LEX10CS

ICR 5681, New

$$DIAGSRCH^LEX10CS

ICR 5681, New

$$ICDSRCH^LEX10CS

ICR 5681, New

$$CODELIST^LEX10CS

ICR 5681, New

$$DX^LEXU

ICR 5679, New

$$D10ONE^LEXU

ICR 5679, New

$$P10ONE^LEXU

ICR 5679, New

$$ONE^LEXU

ICR 5679, New

$$D10^LEXU

ICR 5679, New

$$ALL^LEXU

ICR 5679, New

$$SCT^LEXU

ICR 5679, New

$$HIST^LEXU

ICR 5679, New

$$PERIOD^LEXU

ICR 5679, New

$$CSDATA^LEXU

ICR 5679, New

$$IMPDATE^LEXU

ICR 5679, New

$$NXSAB^LEXU

ICR 5679, New

$$CSYS^LEXU

ICR 5679, New

$$FREQ^LEXU

ICR 5679, New

$$MAX^LEXU

ICR 5679, New

$$PAR^LEXU

ICR 5679, New

$$CAT^LEXU

ICR 5679, New

1.12 New APIs (by subscription)

Patch

API

ICR

ICD*18.0*57

$$ICDDX^ICDEX

ICR 5747, New

$$ICDOP^ICDEX

ICR 5747, New

$$ICDD^ICDEX

ICR 5747, New

$$CODEN^ICDEX

ICR 5747, New

$$CODEC^ICDEX

ICR 5747, New

$$CODEBA^ICDEX

ICR 5747, New

$$CODEABA^ICDEX

ICR 5747, New

$$CODEFI^ICDEX

ICR 5747, New

$$CODECS^ICDEX

ICR 5747, New

Patch

API

ICR

$$CSI^ICDEX

ICR 5747, New

$$VMDC^ICDEX

ICR 5747, New

$$VAGEL^ICDEX

ICR 5747, New

$$VAGEH^ICDEX

ICR 5747, New

$$VCC^ICDEX

ICR 5747, New

$$VCCP^ICDEX

ICR 5747, New

$$VSEX^ICDEX

ICR 5747, New

$$SAI^ICDEX

ICR 5747, New

$$VST^ICDEX

ICR 5747, New

$$VLT^ICDEX

ICR 5747, New

$$VSTD^ICDEX

ICR 5747, New

$$VSTP^ICDEX

ICR 5747, New

$$VLTD^ICDEX

ICR 5747, New

$$VLTP^ICDEX

ICR 5747, New

$$SD^ICDEX

ICR 5747, New

$$LD^ICDEX

ICR 5747, New

$$SDH^ICDEX

ICR 5747, New

$$LDH^ICDEX

ICR 5747, New

PAR^ICDEX

ICR 5747, New

$$STATCHK^ICDEX

ICR 5747, New

$$DTBR^ICDEX

ICR 5747, New

$$IMP^ICDEX

ICR 5747, New

$$MSG^ICDEX

ICR 5747, New

$$SEL^ICDEX

ICR 5747, New

$$NEXT^ICDEX

ICR 5747, New

$$PREV^ICDEX

ICR 5747, New

$$HIST^ICDEX

ICR 5747, New

$$PERIOD^ICDEX

ICR 5747, New

$$OBA^ICDEX

ICR 5747, New

$$OD^ICDEX

ICR 5747, New

$$DLM^ICDEX

ICR 5747, New

$$CS^ICDEX

ICR 5747, New

$$EFF^ICDEX

ICR 5747, New

$$IA^ICDEX

ICR 5747, New

$$LA^ICDEX

ICR 5747, New

$$LI^ICDEX

ICR 5747, New

$$LS^ICDEX

ICR 5747, New

$$NUM^ICDEX

ICR 5747, New

$$COD^ICDEX

ICR 5747, New

$$IE^ICDEX

ICR 5747, New

$$FILE^ICDEX

ICR 5747, New

$$ROOT^ICDEX

ICR 5747, New

$$SYS^ICDEX

ICR 5747, New

Patch

API

ICR

$$SINFO^ICDEX

ICR 5747, New

$$SNAM^ICDEX

ICR 5747, New

$$SAB^ICDEX

ICR 5747, New

$$EXC^ICDEX

ICR 5747, New

$$VER^ICDEX

ICR 5747, New

$$ISA^ICDEX

ICR 5747, New

$$ISVALID^ICDEX

ICR 5747, New

$$EXIST^ICDEX

ICR 5747, New

$$GETDRG^ICDEX

ICR 5747, New

MD^ICDEX

ICR 5747, New

$$EFM^ICDEX

ICR 5747, New

$$FY^ICDEX

ICR 5747, New

$$VMDCDX^ICDEX

ICR 5747, New

$$VMDCOP^ICDEX

ICR 5747, New

$$REF^ICDEX

ICR 5747, New

MDCG^ICDEX

ICR 5747, New

$$MDCT^ICDEX

ICR 5747, New

$$MDCD^ICDEX

ICR 5747, New

$$MOR^ICDEX

ICR 5747, New

$$UPDX^ICDEX

ICR 5747, New

$$NOT^ICDEX

ICR 5747, New

$$REQ^ICDEX

ICR 5747, New

$$NCC^ICDEX

ICR 5747, New

$$ICDID^ICDEX

ICR 5747, New

$$ICDSTR^ICDEX

ICR 5747, New

$$ICDIDS^ICDEX

ICR 5747, New

$$ISOWNCC^ICDEX

ICR 5747, New

$$ICDRGCC^ICDEX

ICR 5747, New

INQ^ICDEX

ICR 5747, New

$$EFD^ICDEX

ICR 5747, New

$$PDXE^ICDEX

ICR 5747, New

$$DRG^ICDEX

ICR 5747, New

$$DRGDES^ICDEX

ICR 5747, New

$$DRGD^ICDEX

ICR 5747, New

$$DRGN^ICDEX

ICR 5747, New

$$GETDATE^ICDEX

ICR 5747, New

LK^ICDEX

ICR 5747, New

$$LKTX^ICDEX

ICR 5747, New

Y^ICDEX

ICR 5747, New

TOKEN^ICDEX

ICR 5747, New

$$WORD^ICDEX

ICR 5747, New

$$IEN^ICDEX

ICR 5747, New

LEX*2.0*80

EN1^LEX10CX

ICR 5840, New

Patch

API

ICR

EN2^LEX10CX

ICR 5840, New

EN3^LEX10CX

ICR 5840, New

1.13 Modified Documentation

Patch

File Name

Content

ICD*18.0*57

ICD_18_57_ICDTM.PDF

ICD Technical Manual

LEX*2.0*80

ICD_18_57_LEXTM.PDF

Lexicon Technical Manual

ICD_18_57_LEXUM.PDF

Lexicon User Manual

1.14 Remedy Tickets

Build

Ticket

Summary

Content

ICD*18.0*57

221565

Duplicate ICD Procedure code 32.41

Original

223750

Duplicate ICD Procedure code 32.41

Duplicate of 221565

239262

Duplicate ICD Procedure code 32.41

Duplicate of 221565

331089

Duplicate ICD Procedure code 32.41

Duplicate of 221565

333612

Duplicate ICD Procedure code 32.41

Duplicate of 221565

340389

Duplicate ICD Procedure code 32.41

Duplicate of 221565

222300

Text Histories for Problem List

LEX*2.0*80

609125

%DT variable in CODE^LEXTRAN

736579

ICD-9 Filter displays DSM-IV Codes

2 ICD-10 Code Set Installation Instructions

This is a multi-package KIDS Distribution consisting of two host files containing two builds and one global:

Host File

Component

Content

ICD_18_57.KID

ICD*18.0*57

ICD-10-CM/PCS Coding System Implementation

LEX*2.0*80

ICD-10-CM/PCS Lexicon Implementation

ICD_18_57.GBL

^LEXM

Lexicon data export global

2.1 Common Installation Errors and Warnings

This KIDS distribution has been installed multiple times in numerous namespaces with two common errors. There are also five specific warnings to heed:

2.1.1 Control Character Error on Global Save

An error may occur while creating a backup copy of the ^LEX global with a warning "Global ^LEX contains control characters." This is caused by the UNRESOLVED NARRATIVE FILE 757.06 containing the provider’s exact input, including backspace and tab characters. (See the section "Backup Preparation")

2.1.2 Full File Error during FTP/Global Load

To avoid the FULLFILE error ensure that sufficient free disk space is available before starting (see the section "Disk Capacity Requirements for ICD-10")

2.1.3 WARNING: Install during Non-Peak Hours

It is recommended that this patch be installed during non-peak hours. During the installation the ICD DIAGNOSIS file #80 and ICD OPERATION/PROCEDURE file #80.1 will not exist.

2.1.4 WARNING: Users must be off of the system for the KIDS Install

All steps leading up to the KIDS Installation may be done with the users on the system. Users must be off of the system during the KIDS installation. Applications, particularly clinical and fiscal applications that use ICD Diagnosis and Procedure, could encounter significant errors if exercised during the install.

2.1.5 WARNING: Place TaskMan in a Wait State for the Installation

TaskMan must remain running but in a WAIT state for the duration of the KIDS installation. Once the install is complete, restore TaskMan by removing TaskMan from a WAIT state.

2.1.6 WARNING: Installation will Temporarily Delete the ICD Coding Files

This install will completely delete the Data Dictionaries and data for both the ICD DIAGNOSIS file #80 and the ICD OPERATION/PROCEDURE file

#80.1 and then rebuild them. The process takes about 2 hours.

2.1.7 WARNING: Do not Interrupt the Installation

If the pre-install runs and deletes the ICD files and the post-install does not run, the site may be left with either missing or incomplete ICD files.

2.1.8 WARNING: Do not Queue this Installation

This installation is interactive. If it is queued, it will hang and not install.

2.1.9 WARNING: Do not install if Window’s Updates are Scheduled/Pending

Check with local network support that no Window’s updates are scheduled for the period of the ICD-10 install. Also, check the toolbar and see if there is a Window’s Update icon for a pending Window’s update from a previous push. A Window’s update will disrupt the session and the KIDS installation.

2.2 System Resource Requirements

The ICD-10 Code Set installation requires the modification of the ICD Diagnosis file #80, ICD Procedure file #80.1, and the Lexicon Coding System file #757.03. It adds the ICD Coding System file #80.4 and the Lexicon Character Position file #757.033. The data dictionary changes will be made by the KIDS build. Data will be added to the following files:

File #

File Name

Type of Export

Nodes Exported

80

ICD DIAGNOSIS

Full File, Replace

6373187

80.1

ICD OPER/PROC

Full File, Replace

3403471

80.4

ICD CODING SYSTEMS

Full File, Replace

21

757

MAJOR CONCEPT MAP

Changes only

277117

757.001

CONCEPT USAGE

Changes only

423881

757.01

EXPRESSIONS

Changes only

4182330

757.02

CODES

Changes only

3362342

757.03

CODING SYSTEMS

Full File, Replace

227

757.04

EXCLUDED WORDS

Full File, Replace

493

757.05

REPLACEMENT WORDS

Full File, Replace

5133

757.033

CHARACTER POSITIONS

Full File, Replace

4837511

757.04

EXCLUDED WORDS

Changes only

24

757.05

REPLACEMENT WORDS

Full File, Replace

7720

757.1

SEMANTIC MAP

Changes only

692791

757.2

SUBSET DEFINITIONS

Changes only

137

757.21

SUBSETS

Changes only

526269

757.3

LOOK-UP SCREENS

Full File, Replace

255

757.31

DISPLAYS

Full File, Replace

137

The data changes are exported using the Lexicon’s export global ^LEXM. This global will need to be loaded prior to installing this build. The post-install will delete the export global ^LEXM.

2.2.1 Disk Capacity Requirements for ICD-10

Permanent Retention: (before/after sizes computed with %GSIZE) Before ICD-10 update (includes LEX*2.0*51 and LEX*2.0*8

Global

Blocks

Bytes

MB

ICD0

639

4361548

4.16

ICD9

3572

24697088

23.55

LEX

88761

547348588

521.99

Total

92972

576407224

549.70

After ICD-10 update:

Global

Blocks

Bytes

MB

ICD0

10399

68416876

65.25

ICD9

15653

105232556

100.36

ICDS

1

324

0.00

LEX`

119296

771109528

735.39

Total

145349

944759284

900.99

Increase

Temporary Installation Space Requirements

In addition to the permanent size increases outlined above, the installing system will need to be able to accommodate three temporary files, which will need to coexist for a short time:

The first file is a global host file named ICD_18_57.GBL. It contains the Lexicon export global

^LEXM. Sites will use the specified File Transfer Protocol (FTP) to retrieve this file from an FTP server. This file may be deleted from the system once the export file has been loaded using %GI.

The second is the Lexicon export global ^LEXM and will exist after it has been loaded from the global host file.

The third temporary and lesser file is the Kernel Installation and Distribution System (KIDS) host file ICD_18_57.KID. This file will be FTPed from an FTP server and contains the KIDS distribution with patches ICD*18.0*57 and LEX*2.0*80. This file may be deleted from the system once the KIDS distribution has been loaded (XPD).

Global/File

Blocks

Bytes

MB

^LEXM Export Global

195742

1200786332

1145.16

Global Host File *.GBL

3133983

1604599296

1530.27

Install Host File *.KID

4966

2542592

2.42

Total

3334691

2807928220

2677.85

Summary

Increased Permanent Space Temporary Space

Total additional Space Required

However, this could be reduced to 2.1 GB with judicious use of timing (e.g., first FTP the export file, then load the export file, then delete VMS file, and finally install the patch).

FTP

^%GI

XPD KIDS Install

Post-Install

ICD_18_57.GBL Host File

Deleted

1604599296 bytes (1530.27 MB)

ICD_18_57.KID Host File

Deleted

2542592 bytes (2.42 MB)

Non-

Existent

^LEXM Export Global

Deleted

1200786332 bytes (1145.16 MB)

Non-Existent

Increased Permanent Retention

368352060 bytes (351.29 MB)

Please note that some of these figures may differ slightly on other systems but they should be in the approximate range. To prevent allocation problems, all MB and GB totals are rounded upward.

2.4 ICD-10 Code Set Installation Instructions

2.4.1 Distribution

This distribution contains two (2) builds in a single KIDS host file and a global in a global host file.

ICD_18_57.KIDICD*18.0*57 LEX*2.0*80

ICD_18_57.GBL^LEXM

The distribution is an “all or nothing” distribution, meaning that if the environment check for any of the two builds fail, then both transport globals will be deleted from the system. This is done because the data for the ICD-9 file and the Lexicon is being distributed in a single global, ^LEXM. Should an environment check fail, the transport globals are deleted to prevent the install of the KIDS build without the data in ^LEXM.

2.4.2 Estimated Timing

Backup

Content

Size

Time

Lexicon Global

^LEX

1.3 GB

20 to 50 minutes

ICD Diagnosis

^ICD9

53 MB

1 to 11 minutes

ICD Procedure

^ICD0

9 MB

1 to 8 minutes

Total Backup

1.4 GB

22 to 69 minutes

Host Files

Content

Size

Time

FTP

ICD_18_57.KID

2.4 MB

4 to 10 seconds

FTP

ICD_18_57.GBL

1.5 GB

40 to 75 minutes

Global Restore ^%GI

^LEXM

1.4 GB

25 to 50 minutes

Total Data

2.5 GB

65 to 125 minutes

KIDS Install

Content

Time

Install #1

ICD*18.0*57

.1 to 1 minutes

Install #2

LEX*2.0*80

13 to 124 minutes

Total

13 to 125 minutes

Total Estimated Time

1.75 to 5.25 hours

The wide range of install times can be caused by the number of users on the system, system activity and the type of system (UNIX/OpenVMS).

2.4.4 Install during non-peak hours

It is recommended that this patch be installed during non-peak hours. During the installation, the ICD DIAGNOSIS file #80 and ICD OPERATION/PROCEDURE file #80.1, will not exist; these files will be deleted by the pre-install. The KIDS build will install the new data dictionaries. Finally, the post-install routines will re- populate these files with both ICD-9 and ICD-10 data.

2.4.5 Users Must be off of the System

Users must be off of the system during the installation of the KIDS distribution. Applications, particularly clinical and fiscal applications that use the ICD Diagnosis and Procedure, could encounter significant errors, if exercised during the install.

The following steps may be completed in preparation for the installation with users still on the system:

FTP Software Retrieval Backup Preparation Backup Globals

Placing TaskMan in a Wait State Load Data from Global Host File Verify Environment

Distribution Load

2.4.6 Documentation Retrieval

Updated documentations describing the functionality introduced by this patch is available in the [ANONYMOUS.SOFTWARE] directories at the following Internet addresses:

Preferred or Specific Server

Internet address

First available ftp server

REDACTED <-- preferred

Albany

REDACTED

Hines

REDACTED

Salt Lake City

REDACTED

Below is a list of the documentation files related to this patch and available via the FTP sites listed above:

Document File Description

File Name

Protocol

ICD Technical Manual

ICD_18_57_ICDTM.PDF

binary

Lexicon Technical Manual

ICD_18_57_LEXTM.PDF

binary

Lexicon User Manual

ICD_18_57_LEXUM.PDF

binary

After this patch is released, the updated manuals may also be retrieved from the Internet at http://www.va.gov/vdl

2.4.7 FTP Software Retrieval

Host File

File Name

FTP Protocol

KIDS Distribution

ICD_18_57.KID

ASCII

Data Host File

ICD_18_57.GBL

ASCII

Installation Guide

ICD_18_57_IG.PDF

Binary

These files may be downloaded directly from the following FTP servers:

FTP Server

Internet address

*

Preferred Server

REDACTED <--

Albany

REDACTED

Hines

REDACTED

Salt Lake City

REDACTED

* The preferred server download.vista.med.va.gov will transmit the file from the first available FTP server. Files are available in the ANONYMOUS.SOFTWARE directory.

Estimated FTP times:

ICD_18_57_IG.PDF

926 KB

2 to

5 seconds

ICD_18_57_DISK_REQ.PDF

220 KB

1 to

3 seconds

ICD_18_57.KID

2.4 MB

4 to

10 seconds

ICD_18_57.GBL

1.5 GB

40 to

75 minutes

2.4.8 Backup Preparation

Before backing up the data in the ^LEX global, first clear out the UNRESOLVED NARRATIVE file 757.06. This will prevent the backup procedure from encountering a control character and aborting in error. At the programmer prompt, issue the following command to remove the control characters:

>D CLR^LEXAR7

2.4.9 Backup Globals

Create a backup of the following global files before continuing:

Lexical Files

#757-757.41

^LEX

ICD DIAGNOSIS File

#80

^ICD9

ICD OPERATION/PROCEDURE File

#80.1

^ICD0

These backup files may get as large as 1.4 gigabytes. Make sure space is available before proceeding. It should take from 22 to 69 minutes to create the backup files. Use

the utility ^%GO for non-subscripted globals. When prompted for a global, enter the global root (global name only, no open parenthesis, no file number, and no commas, as shown below). Example:

Enter

To create a Backup copy of:

^LEX

Lexical Files

^LEXT

Lexicon Subset Definitions and User Defaults

^ICD9

ICD DIAGNOSIS File

^ICD0

ICD OPERATION/PROCEDURE File

2.4.10 Place TaskMan in a Wait State for the Installation

TaskMan must remain running but in a WAIT state for the duration of the KIDS installation. Once the install is complete, restore TaskMan by removing TaskMan from a WAIT state.

2.4.11 Load Data from Global Host File

Install the data from the global host file ICD_18_57.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 1.4 gigabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 25 to 50 minutes. From the Programmer prompt, execute the following routine:

>D ^%GI

Global input

Device: VA5$:[ANONYMOUS.SOFTWARE]ICD_18_57.GBL

Parameters? "RS" =>

Globals were saved on 17 Jan 20143:32 PMCache with description: ICD*18.0*57/LEX*2.0*80 Data

Input option: A

^LEXM

2.4.12 Environment

Set up user and IO variables (D ^XUP) for programmer access. Verify that DUZ, DUZ(“AG”), DT, DTIME, and U are defined and that DUZ(0)=”@”.

2.4.13 Distribution Load:

Load the KIDS Distribution from the host file ICD_18_57.KID. This KIDS file is a multi-package distribution file that contains the following KIDS builds with the specified install order:

Install Order

KIDS Build

1

ICD*18.0*57

2

LEX*2.0*80

Environment Check:

This distribution has an "all or nothing" environment check. The environment check routines for both builds must pass for the install to continue. Required key elements are:

Code Set Versioning (CSV)

2003

Code Text Descriptors (CTD)

2004

Query Options (LEXQ)

2009

Latest DRG Grouper Updates and Fixes

2011

Latest Code Set Updates

2013

2.4.14 RECOMMENDATION: Users may be on the system up to this point

To limit the down time, it is recommended that all steps up to this point, including the backup preparation, global backup, global load, environment setup and the KIDS distribution load be done with users on the system. Users must be taken off the system at this point. Applications, particularly clinical and fiscal applications that use the ICD Diagnosis and Procedure, could encounter significant errors if exercised during the install.

2.4.15 Inhibit Logons during the KIDS Installation

During the KIDS install when asked "Want KIDS to INHIBIT LOGONs during the install?" make sure to respond with “Yes”.

2.4.16 Installation will temporarily delete files 80 and 80.1

This install will completely delete the data dictionaries and data for both the ICD DIAGNOSIS file #80 and the ICD OPERATION/PROCEDURE file #80.1.

2.4.17 KIDS Installation

Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name ICD*18.0*57.

During the environment check, you will be asked if you wish to continue. If the account is not mapped to another namespace, or if the account is mapped to another namespace but that namespace is also scheduled to receive this patch, then respond 'YES' to the prompt "Do you wish to continue?"

The environment check will run a checksum on the incoming data to ensure that the data file received via FTP and loaded is identical to the distribution data. This checksum will run about 5-20 minutes depending on your system.

Installation questions:

Respond "Yes" at the "Want KIDS to Rebuild Menu Trees upon Completion of Install?" prompt.

Respond "Yes" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt.

Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt.

The KIDS install should take from 13 – 125 minutes.

2.4.18 Post-installation Cleanup

The Environment Check routines ICD1857 and LEX2080 and the Post-Install routines ICD1857P, LEX2080A, LEX2080B, LEX2080C, and LEX2080P should be deleted

using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation.

2.4.19 Restore TaskMan from the Wait State

Restore TaskMan by removing TaskMan from a WAIT state.

3 APPENDIX A – Captured Install

3.1 Load Export Global ^LEXM

>D GL D ^%GI

Global input

Device: VA5$:[ANONYMOUS.SOFTWARE]ICD_18_57.GBL

Parameters? "RS" =>

Globals were saved on 17 Jan 20143:32 PMCache with description: ICD*18.0*57/LEX*2.0*80 Data

Input option: A

^LEXM

Captured Times:

Start:04/19/2014 15:08:35

Finish:04/19/2014 15:33:31

Elapsed:00:24:56

3.2 Load KIDS Distribution

Select Installation Option: Load a Distribution Enter a Host File: VA5$:[BETA]ICD_18_57.KID

KIDS Distribution saved on Apr 18, 2014@18:29:04 Comment: ICD*18.0*57/LEX*2.0*80 Install

This Distribution contains Transport Globals for the following Package(s): ICD*18.0*57

LEX*2.0*80

Distribution OK!

Want to Continue with Load? YES// Loading Distribution...

Build ICD*18.0*57 has an Environmental Check Routine Want to RUN the Environment Check Routine? YES//

ICD*18.0*57

Will first run the Environment Check Routine, ICD1857 Checking for ICD Version installations

ICD 18.0 installed 10/20/2000

Checking forReleased

ICD*18.0*609/24/2003Installed 09/29/2003CSV ICD*18.0*1210/08/2004Installed 10/11/2004CTD

ICD*18.0*1506/09/2005Installed 06/13/2005Legacy APIs

ICD*18.0*29

11/15/2007

Installed

11/19/2007

Legacy APIs

LEX*2.0*81

02/14/2012

Installed

02/14/2012

Fix Cross-Reference

PSO*7.0*404

08/14/2012

Installed

01/28/2013

Global Read of ICD

files

ONC*2.11*56

09/27/2012

Installed

01/28/2013

Global Read of ICD

files

RA*5.0*112

04/17/2013

Installed

04/24/2013

Global Read of ICD

files

ICD*18.0*62

05/01/2013

Installed

02/13/2013

DRG Grouper Fixes

GMPL*2.0*43

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

TIU*1.0*267

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

ICD*18.0*69

06/21/2013

Installed

06/22/2013

DRG Grouper Fixes

DG*5.3*870

07/15/2013

Installed

07/17/2013

Global Read of ICD files

IBD*3.0*64

09/03/2013

Installed

07/19/2013

Global Read of ICD files

LR*5.2*429

09/18/2013

Installed

10/24/2013

Global Read of ICD files

ACKQ*3.0*22

12/12/2013

Installed

12/19/2013

Global Read of ICD files

LEX*2.0*94

01/14/2014

Installed

01/23/2014

FY14 2nd Qtr Update

Checking DEVCUR ICD Data Dictionary/Global/Data Status: Data Dictionary:

Remnants of the legacy ICD Data Dictionary found ICD-9/ICD-10 Data Dictionary does not exist

Global:

Global Name

#

Root

Patched

Updated

ICD DIAGNOSIS

80

^ICD9(

ICD*18.0*66

10/01/2012

ICD OPERATION/PROCEDURE

80.1

^ICD0(

ICD*18.0*73

10/01/2013

Data:

Legacy ICD-9Updated ICD-10

Data TypeData FormatData Format ICD Diagnosis DataYesNo

ICD Procedure DataYesNo

WARNINGWARNINGWARNINGWARNINGWARNINGWARNINGWARNING

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

**

· This Install will delete both the ICD-9 Data Dictionary and data in *

· files #80 and #80.1.It will then install a new Data Dictionary*

· for files #80 and #80.1.The new Data Dictionary will accommodate*

· both the ICD-9 and ICD-10 coding systems.The new data will be*

· installed by the accompanying Lexicon patch LEX*2.0*80.These*

· changes will affect this namespace and any other namespace that*

· the ^ICD9 and ^ICD0 globals are mapped to.If your current*

· namespace is mapped to another namespace, make sure the other*

· namespace is also scheduled to be updated by this patch before*

· continuing.*

**

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Do you wish to continue?(Y/N)YES

Environment for patch/build ICD*18.0*57 is ok LEX*2.0*80

Will first run the Environment Check Routine, LEX2080

Checking forReleased

LEX*2.0*25

09/24/2003

Installed

09/29/2003

CSV

LEX*2.0*30

10/08/2004

Installed

10/11/2004

CTD

LEX*2.0*62

05/06/2009

Installed

05/11/2009

Queries

LEX*2.0*81

02/14/2012

Installed

02/14/2012

Fix Cross-Reference

PSO*7.0*404

08/14/2012

Installed

01/28/2013

Global Read of ICD

files

ONC*2.11*56

09/27/2012

Installed

01/28/2013

Global Read of ICD

files

RA*5.0*112

04/17/2013

Installed

04/24/2013

Global Read of ICD

files

ICD*18.0*62

05/01/2013

Installed

02/13/2013

DRG Grouper Fixes

GMPL*2.0*43

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

TIU*1.0*267

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

ICD*18.0*69

06/21/2013

Installed

06/22/2013

DRG Grouper Fixes

DG*5.3*870

07/15/2013

Installed

07/17/2013

Global Read of ICD

files

IBD*3.0*64

09/03/2013

Installed

07/19/2013

Global Read of ICD

files

LR*5.2*429

09/18/2013

Installed

10/24/2013

Global Read of ICD

files

ACKQ*3.0*22

12/12/2013

Installed

12/19/2013

Global Read of ICD

files

LEX*2.0*94

01/14/2014

Installed

01/23/2014

FY14 2nd Qtr Update

Environment for patch/build LEX*2.0*80 is ok

Use INSTALL NAME: ICD*18.0*57 to install this Distribution.

Captured Times:

Start:04/19/2014 11:53:40

Finish:04/19/2014 11:53:51

Elapsed:00:00:11

3.3 Install KIDS Distribution

Select Installation Option: Install Package(s)

Select INSTALL NAME: ICD*18.0*57 4/19/14@11:53:44

=> ICD*18.0*57/LEX*2.0*80 Install;Created on Apr 18, 2014@18:29:04

This Distribution was loaded on Apr 19, 2014@11:53:44 with header of ICD*18.0*57/LEX*2.0*80 Install ;Created on Apr 18, 2014@18:29:04 It consisted of the following Install(s):

ICD*18.0*57 LEX*2.0*80

Checking Install for Package ICD*18.0*57

Will first run the Environment Check Routine, ICD1857 Checking for ICD Version installations

ICD 18.0 installed 10/20/2000

Checking for

Released

ICD*18.0*6

09/24/2003

Installed

09/29/2003

CSV

ICD*18.0*12

10/08/2004

Installed

10/11/2004

CTD

ICD*18.0*15

06/09/2005

Installed

06/13/2005

Legacy APIs

ICD*18.0*29

11/15/2007

Installed

11/19/2007

Legacy APIs

LEX*2.0*81

02/14/2012

Installed

02/14/2012

Fix Cross-Reference

PSO*7.0*404

08/14/2012

Installed

01/28/2013

Global Read of ICD

files

ONC*2.11*56

09/27/2012

Installed

01/28/2013

Global Read of ICD

files

RA*5.0*112

04/17/2013

Installed

04/24/2013

Global Read of ICD

files

ICD*18.0*62

05/01/2013

Installed

02/13/2013

DRG Grouper Fixes

GMPL*2.0*43

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

TIU*1.0*267

05/14/2013

Installed

05/15/2013

Global Read of ICD

files

ICD*18.0*69

06/21/2013

Installed

06/22/2013

DRG Grouper Fixes

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

28

DG*5.3*870

07/15/2013

Installed

07/17/2013

Global Read of ICD files

IBD*3.0*64

09/03/2013

Installed

07/19/2013

Global Read of ICD files

LR*5.2*429

09/18/2013

Installed

10/24/2013

Global Read of ICD files

ACKQ*3.0*22

12/12/2013

Installed

12/19/2013

Global Read of ICD files

LEX*2.0*94

01/14/2014

Installed

01/23/2014

FY14 2nd Qtr Update

Checking DEVCUR ICD Data Dictionary/Global/Data Status: Data Dictionary:

Remnants of the legacy ICD Data Dictionary found ICD-9/ICD-10 Data Dictionary does not exist

Global:

Global Name

#

Root

Patched

Updated

ICD DIAGNOSIS

80

^ICD9(

ICD*18.0*66

10/01/2012

ICD OPERATION/PROCEDURE

80.1

^ICD0(

ICD*18.0*73

10/01/2013

Data:

Legacy ICD-9Updated ICD-10

Data TypeData FormatData Format ICD Diagnosis DataYesNo

ICD Procedure DataYesNo

WARNINGWARNINGWARNINGWARNINGWARNINGWARNINGWARNING

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

**

· This Install will delete both the ICD-9 Data Dictionary and data in *

· files #80 and #80.1.It will then install a new Data Dictionary*

· for files #80 and #80.1.The new Data Dictionary will accommodate*

· both the ICD-9 and ICD-10 coding systems.The new data will be*

· installed by the accompanying Lexicon patch LEX*2.0*80.These*

· changes will affect this namespace and any other namespace that*

· the ^ICD9 and ^ICD0 globals are mapped to.If your current*

· namespace is mapped to another namespace, make sure the other*

· namespace is also scheduled to be updated by this patch before*

· continuing.*

**

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Do you wish to continue?(Y/N)YES

Environment for patch/build ICD*18.0*57 is ok Install Questions for ICD*18.0*57

Incoming Files:

80 ICD DIAGNOSIS

Note:You already have the 'ICD DIAGNOSIS' File.

80.1 ICD OPERATION/PROCEDURE

Note:You already have the 'ICD OPERATION/PROCEDURE' File.

80.4ICD CODING SYSTEMS(including data)

82 DRG DIAGNOSIS IDENTIFIER CODES(including data)

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

29

82.1 DRG PROCEDURE IDENTIFIER CODES(including data)

82.13DRG CC EXCLUSIONS Checking Install for Package LEX*2.0*80

Will first run the Environment Check Routine, LEX2080

Checking for

Released

LEX*2.0*25

09/24/2003

Installed

09/29/2003

CSV

LEX*2.0*30

10/08/2004

Installed

10/11/2004

CTD

LEX*2.0*62

05/06/2009

Installed

05/11/2009

Queries

LEX*2.0*81

02/14/2012

Installed

02/14/2012

Fix Cross-Reference

PSO*7.0*404

08/14/2012

Installed

01/28/2013

Global Read of ICD files

ONC*2.11*56

09/27/2012

Installed

01/28/2013

Global Read of ICD files

RA*5.0*112

04/17/2013

Installed

04/24/2013

Global Read of ICD files

ICD*18.0*62

05/01/2013

Installed

02/13/2013

DRG Grouper Fixes

GMPL*2.0*43

05/14/2013

Installed

05/15/2013

Global Read of ICD files

TIU*1.0*267

05/14/2013

Installed

05/15/2013

Global Read of ICD files

ICD*18.0*69

06/21/2013

Installed

06/22/2013

DRG Grouper Fixes

DG*5.3*870

07/15/2013

Installed

07/17/2013

Global Read of ICD files

IBD*3.0*64

09/03/2013

Installed

07/19/2013

Global Read of ICD files

LR*5.2*429

09/18/2013

Installed

10/24/2013

Global Read of ICD files

ACKQ*3.0*22

12/12/2013

Installed

12/19/2013

Global Read of ICD files

LEX*2.0*94

01/14/2014

Installed

01/23/2014

FY14 2nd Qtr Update

I will now check the protection on ^LEX, ^ICD9 and ^ICD0 Globals. If you get an ERROR, you will need to change the protection on these globals to allow read/write as indicated:

Cache systems

Owner

RWD

Group

RW

World

RW

Network

RWD

Checking:

^LEX(*

Lexicon

757-757.41

^ICD9(

ICD Diagnosis

80

^ICD0(

ICD Operation/Procedure

80.1

--> ok

Running checksum routine on the ^LEXM import global, please wait

................................................................

Checksum is ok

Environment for patch/build LEX*2.0*80 is ok Install Questions for LEX*2.0*80

Incoming Files:

757.02 CODES

Note:You already have the 'CODES' File.

757.03 CODING SYSTEMS

Note:You already have the 'CODING SYSTEMS' File.

757.033CHARACTER POSITIONS

757.31DISPLAYS(including data) Note:You already have the 'DISPLAYS' File. I will OVERWRITE your data with mine.

Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// Want KIDS to INHIBIT LOGONs during the install? NO// YES

Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//

Enter the Device you want to print the Install messages. Enter a '^' to abort the install.

DEVICE: HOME// ;P-OTHERHOME

Install Started for ICD*18.0*57 :

Apr 19, 2014@12:17:14

Build Distribution Date: Apr 18, 2014

Installing Routines:...........................................

Apr 19, 2014@12:17:15

Running Pre-Install Routine: PRE^ICD1857P. Deleting the Data Dictionary and Data for:

ICD DIAGNOSIS file #80done

ICD OPERATION/PROCEDURE file #80.1done

Installing Data Dictionaries: .......

Apr 19, 2014@12:17:20

Installing Data:

Apr 19, 2014@12:17:22

Running Post-Install Routine: POST^ICD1857P. Updating ICD files

ICD DIAGNOSISfile #80

ICD OPERATION/PROCEDUREfile #80.1

Updating Routine file......

Updating KIDS files.......

ICD*18.0*57 Installed.

Apr 19, 2014@12:17:22

Not a production UCI NO Install Message sent

Install Started for LEX*2.0*80 :

Apr 19, 2014@12:17:22

Build Distribution Date: Apr 18, 2014 Installing

Routines:...........................................................

..............

Apr 19, 2014@12:17:25

Installing Data Dictionaries: .....

Apr 19, 2014@12:17:25

Installing Data:

Apr 19, 2014@12:17:25

Installing PACKAGE COMPONENTS:

Installing OPTION.....

Apr 19, 2014@12:17:25

Running Post-Install Routine: POST^LEX2080P. Updating ICD displays to include ICD-10

Installing Data for patch LEX*2.0*80

Updating files using export global created Jan 17, 2014 at 08:47:28 Updating ICD-9-CM with patch/build ICD*18.0*57

To version 18.0 revision 57 dated Oct 01, 2014

ICD Diagnosis File80

....................................................................

ICD Operation/procedure File80.1

....................................................................

ICD Coding Systems File80.4

.....................

Updating Lexicon with patch/build LEX*2.0*80 To version 2.0 revision 80 dated Oct 01, 2014

Major Concept Map File757

....................................................................

Concept Usage File757.001

....................................................................

Expressions File757.01

....................................................................

Codes File757.02

....................................................................

Coding Systems File757.03

....................................................................

Character Positions File757.033

....................................................................

Excluded Words File757.04

....................................................................

Replacement Words File757.05

....................................................................

Semantic Map File757.1

....................................................................

Subset Definitions File757.2

....................................................................

Subsets File757.21

....................................................................

Look-up Screens File757.3

....................................................................

Displays File757.31

....................................................................

Data Update:Installation of data completed successfully Started:Apr 19, 2014 12:17:25

Finished:Apr 19, 2014 13:27:26

Elapsed:01:10:01

Post-Install Summary Queued Task #1812290

Checking DEVCUR ICD Data Dictionary/Global/Data Status: Data Dictionary:

Legacy ICD Data Dictionary does not exist ICD Data Dictionary updates for ICD-10 found

Lexicon Data Dictionary updates for ICD-10 found Global:

Global Name

File #

Patched

Effective

ICD DIAGNOSIS

80

ICD*18.0*57

10/01/2014

ICD OPERATION/PROCEDURE

80.1

ICD*18.0*57

10/01/2014

ICD CODING SYSTEMS

80.4

ICD*18.0*57

10/01/2014

MAJOR CONCEPT MAP

757

LEX*2.0*80

10/01/2014

CONCEPT USAGE

757.001

LEX*2.0*80

10/01/2014

EXPRESSIONS

757.01

LEX*2.0*80

10/01/2014

CODES

757.02

LEX*2.0*80

10/01/2014

CODING SYSTEMS

757.03

LEX*2.0*80

10/01/2014

CHARACTER POSITIONS

757.033

LEX*2.0*80

10/01/2014

SEMANTIC MAP

757.1

LEX*2.0*80

10/01/2014

LOOK-UP SCREENS

757.3

LEX*2.0*80

10/01/2014

DISPLAYS

757.31

LEX*2.0*80

10/01/2014

Data:

Legacy ICD-9Updated ICD-10

Coding System DataData FormatData Format ICD Diagnosis DataNoYes

ICD Procedure DataNoYes

Lexicon DataICD-9ICD-10

ICD DiagnosisYesYes

ICD ProceduresYesYes Repair indexes in files #757.01/757.21 tasked (#1812292)

Updating Routine file......

Updating KIDS files.......

LEX*2.0*80 Installed.

Apr 19, 2014@13:31:37

Not a production UCI NO Install Message sent Call MENU rebuild

Starting Menu Rebuild:Apr 19, 2014@13:31:39 Collecting primary menus in the New Person file...

Primary menus found in the New Person file

OPTION

NAME

MENU TEXT

# OF

USERS

LAST

USED

LAST

BUILT

EVE

Systems Manager Menu

188

03/15/14

03/11/14

XUPROG

Programmer Options

3

03/12/14

03/11/14

XUCORE

Core Applications

5

09/15/06

03/11/14

LRMENU

Laboratory DHCP Menu

1

03/11/14

PSO MANAGER

Outpatient Pharmacy Manager

1

07/21/00

03/11/14

XMUSER

MailMan Menu

5

12/27/98

03/11/14

ORMGR

CPRS Manager Menu

26

08/06/13

03/11/14

OR MAIN MENU

NURSE

Nurse Menu

1

04/19/07

03/11/14

TIU MAIN MENU MRT

Text Integration Utilitie...

2

02/11/14

03/11/14

TIU MAIN MENU MGR

Text Integration Utilitie...

1

10/19/09

03/11/14

PXRM MANAGERS MENU

Reminder Managers Menu

1

01/24/09

03/11/14

ZZANALYST

Analyst Menu

1

04/18/07

03/11/14

EVE + VPE

EVE Menu Plus VPE Options

1

06/04/04

03/11/14

Building secondary menu trees....

Merging.done.

Menu Rebuild Complete:Apr 19, 2014@13:31:52

Captured Times:

Start:04/19/2014 12:01:09

Finish:04/19/2014 13:31:54

Elapsed:01:30:45

3.4 Post-Install Message (example)

Subj: LEX*2.0*80 Installation[#450428] 04/19/14@13:30 16 lines From: POSTMASTERIn 'IN' basket.Page 1*New*

ICD-10 Implementation

=====================

As of:Apr 19, 201413:30:17

In Account:[VHA,ROU](Production)

Maint By:Anonymous, User(555) 555-5555 Build:LEX*2.0*80

Host File:ICD_18_57.GBL

Started:

Apr 19, 2014

12:17:25

Finished:

Apr 19, 2014

13:30:17

Elapsed:

01:12:52

Data:Installation of data completed successfully

3.5 Cross-Reference Repair Message (example)

NOTE: Re-Indexing times and totals may vary.

Subj: Repair Major Word Indexes[#450430] 04/19/14@14:5019 lines From: POSTMASTERIn 'IN' basket.Page 1*New*

Re-Index Repair

Date

Start

Finish

Elapsed

Build 'AWRD' Word Index Replace 'AWRD' Word Index

04/19/2014 ""

13:30:21

13:56:20

13:56:20

14:00:49

00:25:59

00:04:29

133991 Words

4568491 'AWRD' Index Nodes

Build 'ASL' String Length Index

""14:00:49

14:12:27

00:11:38

Replace 'ASL' String Length Index

""14:12:27

14:13:20

00:00:53

472681 'ASL' Index Nodes

Expression Indexes

""13:30:21

14:13:21

00:43:00

Build 'ASUB' Word Index

""14:13:21

14:46:36

00:33:15

Replace 'ASUB' Word Index

""14:46:36

14:50:23

00:03:47

45 Subsets 220316 Words

4701056 Subset Index Nodes Subset Indexes

"

"

14:13:21

14:50:24

00:37:03

Total Time to Repair Indexes

04/19/2014

13:30:21

14:50:24

01:20:03

4 APPENDIX B – Checksums4.1 Multi-Package Distribution Routine Summary

4.1.1 ICD*18.0*57 Checksums

The second line of each of these routines will look like:

;;18.0;DRG Grouper;**[PATCH LIST]**;Oct 20, 2000

Routine

Checksums Before Patch

Checksums After Patch

Patch List (2nd Line)

ICD1857

176584453

57

ICD1857P

10496780

57

ICD0IDX

11419052

ICD9IDX

11648583

ICDAPIU

36736755

1779997

6,11,12,15,57

ICDCOD

5243995

5702581

7,57

ICDCODE

75863718

17241457

6,12,14,29,57

ICDDIC

40496787

57

ICDDICA

99850836

57

ICDDRG

27872352

34375895

2,7,10,14,20,31,37,57

ICDDRGM

25118508

31028651

7,36,57

ICDEX

73946334

57

ICDEXA

28447306

57

ICDEXA2

66742760

57

ICDEXA3

159565550

57

ICDEXC

108523477

57

ICDEXC2

74960854

57

ICDEXC3

75483213

57

ICDEXC4

11534357

57

ICDEXD

28893974

57

ICDEXD2

91571446

57

ICDEXD3

14191421

57

ICDEXD4

78522708

57

ICDEXD5

63389361

57

ICDEXH

89157219

57

ICDEXLK

199827276

57

ICDEXLK2

168472768

57

ICDEXLK3

98024730

57

ICDEXLK4

25896513

57

ICDEXLK5

75373289

57

ICDEXLK6

83204817

57

ICDEXS

149154345

57

ICDEXS2

4261248

57

ICDGTDRG

50975145

3954114

7,12,14,17,57

ICDID

14387573

42005252

12,15,57

ICDIDX

81806882

57

ICDIDX2

39101671

57

ICDREF

1396078

499599

14,17,57

ICDSAPI

3564588

57

ICDSUPT

4162240

4754457

6,57

ICDTOKN

33213278

57

ICDXCODE

7083997

57

4.1.2 LEX*2.0*80 Checksums

The second line of each of these routines will look like:

;;2.0;;**[PATCH LIST]**;Sep 23, 1996

Routine

Checksums Before Patch

Checksums After Patch

Patch

List

(2nd

Line)

LEX2080

184435059

80

LEX2080P

91320913

80

LEX10CS

72383021

80

LEX10CS2

50802408

80

LEX10CX

90915734

80

LEX10CX2

27454248

80

LEX10CX3

97828924

80

LEX10CX4

37820297

80

LEX10CX5

45896269

80

LEX10DBC

9636063

80

LEX10DBR

8889238

80

LEX10DBT

9014801

80

LEX10DL

57481356

80

LEX10DLS

50742305

80

LEX10DU

116539995

80

LEX10DX

28706888

80

LEX10PL

120447479

80

LEX10PLA

39916196

80

LEX10PLS

85504731

80

LEX10PR

47282338

80

LEX10TAX

83701759

80

LEX2080A

57341845

80

LEX2080B

59256107

80

LEX2080C

58859352

80

LEXA

44698793

53072237

3,4,6,19,25,36,38,43,55,73,

80

LEXA1

38731910

69671285

3,4,6,11,15,38,55,73,80

LEXA2

535269

597135

38,80

LEXA3

15059941

15059941

1,4,80

LEXA4

21030061

22480783

3,6,15,80

LEXAB

9544212

10463880

25,80

LEXABC

46217187

68137439

4,25,26,29,38,73,51,80

LEXABC2

25816397

25634318

4,80

LEXAFIL

205120

201610

80

LEXAL

37971689

72078379

6,55,80

LEXAL2

12928118

14217830

80

LEXALK

22806965

35871965

2,3,6,25,51,80

LEXAM

15878015

18114833

80

LEXAMD

24549577

28007514

6,25,80

LEXAMD2

2872185

2872185

6,80

LEXAR

17442980

18722296

3,19,25,55,80

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

37

LEXAR2

1018662

1200564

80

LEXAR3

38300154

79678965

73,80

LEXAR4

9905737

10464362

4,5,6,25,55,80

LEXAR5

25152319

56192093

14,25,26,38,55,73,80

LEXAR6

33720085

38407694

3,9,11,80

LEXAR7

17047262

18786524

9,25,73,80

LEXAS

6614534

6614534

4,80

LEXAS2

10917713

11730023

80

LEXAS3

4196429

4196429

80

LEXAS4

8439698

8439698

80

LEXAS5

14441583

15308783

80

LEXAS6

6676230

6676230

41,80

LEXAS7

18643877

18643877

80

LEXASC

6679811

7966749

25,80

LEXASO

16929355

18758787

25,32,73,80

LEXCODE

38198808

71456026

25,73,80

LEXDCC

4957812

5534473

80

LEXDCCC

8352647

8993729

80

LEXDCCS

12310875

13152111

80

LEXDCX

4372991

4881405

80

LEXDCXS

20695673

21843767

80

LEXDD1

22014117

25092584

80

LEXDD2

3129195

3584925

80

LEXDD3

947330

1122704

80

LEXDD4

14098487

13932965

80

LEXDDS

2093495

2531478

80

LEXDDSD

8702123

9566423

80

LEXDDSP

14491280

15948891

80

LEXDDSS

2858762

3222865

80

LEXDDT1

5416359

5978859

80

LEXDDT2

4317509

4823705

80

LEXDDTC

1554828

1795542

80

LEXDDTD

1846548

2129676

80

LEXDDTF

13760824

14904532

80

LEXDDTV

3335880

3758286

80

LEXDFL

4960220

5442174

80

LEXDFLC

795201

911217

80

LEXDFLS

14832359

15732119

80

LEXDFLT

2054932

2257084

80

LEXDFN

15697638

17432462

6,80

LEXDFN2

10551696

11535780

80

LEXDFSB

3384984

3384984

80

LEXDFSE

11756941

12795665

80

LEXDFSI

9333756

9975036

80

LEXDFSO

6471992

7103084

80

LEXDFSS

18377628

19790328

80

LEXDFST

6173810

6779396

80

LEXDM

14264609

15365543

81,80

LEXDM2

12707166

14152696

80

LEXDM3

2911195

3366699

80

LEXDM4

30212363

31719160

4,80

LEXDMG

10098170

10875914

80

LEXDMGO

5510946

6104772

80

LEXDMGS

7121139

80

ICD*18.0*57/LEX*2.0*80 ICD-10 Install Guide

38

LEXDMGT

13311302

14879684

80

LEXDMGU

19106674

17558143

80

LEXDMGV

12206347

10768836

80

LEXDSV

5732630

6361439

80

LEXDVO

4237055

4750248

80

LEXDVOS

13847911

14773585

80

LEXEDF1

14571584

16274240

3,25,80

LEXEDF2

21442230

23335121

80

LEXERF

6241374

6876897

80

LEXERI

25688427

28387082

80

LEXHLP

44256661

49116460

11,80

LEXHLP2

43406586

80

LEXIENV

2220341

LEXILG

3264267

LEXILGD

6547962

LEXILGO

7485420

LEXILGP

6881976

LEXILGU

6610815

LEXILGX

7059394

LEXLGM

24937877

LEXLGM2

12066085

LEXLGM3

7626310

LEXLK

4258330

4772038

80

LEXLK2

34120218

35967054

6,19,80

LEXMTLU

3910098

4465457

11,80

LEXNDX1

13157193

15300301

80

LEXNDX2

21432451

24352657

51,80

LEXNDX3

9214968

10557269

80

LEXNDX4

20468165

25651972

80

LEXNDX5

6805423

7594232

80

LEXNDX6

7394894

13564352

80

LEXNDX8

33490445

57045957

25,73,80

LEXPL

18846088

LEXPLEM

21438486

LEXPLIA

5712377

LEXPLUP

5493248

LEXPRNT

14926711

16064767

80

LEXQC

101390114

5018665

62,80

LEXQC2

14109806

13016948

62,80

LEXQC3

22152952

80

LEXQC4

47380274

80

LEXQCM

67014752

69421811

62,68,80

LEXQCM2

58451026

59164466

62,80

LEXQCP

77088041

79602950

62,80

LEXQCP2

56468860

57182153

62,80

LEXQCPA

9847253

9841880

62,80

LEXQH

19745844

20466600

62,80

LEXQHL1

94982465

95304509

62,80

LEXQHL2

92433013

90489365

62,80

LEXQHL3

40808701

40434251

62,80

LEXQHL4

101257381

100552373

62,80

LEXQHL5

13324910

21983988

62,80

LEXQHLM

8941107

7914203

62,80

LEXQID

46340703

59190420

62,73,80

LEXQID2

36269222

35722447

62,73,80

LEXQID3

61299678

74079700

62,80

LEXQID4

62471424

67283614

62,80

LEXQIDA

55078060

51204614

62,80

LEXQIP

67055751

87751371

62,73,80

LEXQIP2

18474806

10742392

62,80

LEXQIP3

28550330

28040002

62,73,80

LEXQIPA

3508695

3640982

62,80

LEXQL

49347251

69016427

62,80

LEXQL2

36280170

49164602

62,80

LEXQL3

34226328

12608656

62,80

LEXQL4

39546926

80

LEXQM

27832557

27832926

62,80

LEXRX

25440682

29831306

81,80

LEXRXB

52650110

53080223

81,80

LEXRXC

104836918

105521717

81,80

LEXRXD

72163787

72709975

81,80

LEXRXD4

78250103

78250103

81,80

LEXRXE

59805790

60291807

81,80

LEXRXF

89637737

90798435

81,80

LEXRXG

75572745

76130411

81,80

LEXRXXP

22174903

22155217

81,80

LEXRXXS

124182348

125584554

81,80

LEXRXXT3

2392111

2474933

81,80

LEXSC

3047995

3537512

80

LEXSC2

8240546

9055298

11,80

LEXSC3

9634238

10957166

80

LEXSET

11622540

17938997

25,80

LEXSET2

18221774

18221774

6,80

LEXSET3

12976280

12976280

6,80

LEXSET4

3072931

3440677

80

LEXSET5

22917951

25961242

6,11,80

LEXSRC2

47664785

52534156

25,28,73,80

LEXTOKN

54550782

80

LEXTOKN2

13220121

80

LEXTOLKN

38854621

LEXTRAN

74420928

77492995

41,59,73,80

LEXTRAN1

91365999

109851516

59,73,51,80

LEXU

21563695

137452070

2,6,9,15,25,36,73,51,80

LEXU2

131844732

80

LEXU3

65261771

80

LEXU4

63972250

80

LEXUH

105430964

80

LEXXFI

53802032

61706578

32,46,49,41,59,73,80

LEXXFI3

36032723

36033514

32,80

LEXXFI4

23614617

23615408

32,80

LEXXFI6

7377365

7378156

32,80

LEXXFI7

41558940

40222921

32,49,80

LEXXFI8

38145534

39455696

32,80

LEXXFQ

15590093

17747138

4,25,73,80

LEXXGI

41415628

55219661

4,25,26,27,28,29,46,49,50,41,

59,73,80

LEXXGI2

66127456

66453808

25,26,28,29,46,49,50,73,80

LEXXGI3

21977980

20329956

59,80

LEXXGI4

22057583

168770794

51,80

LEXXGP1

211142742

80

LEXXGP2

136699834

80

LEXXII

40032247

41394926

32,46,49,50,41,59,73,80

LEXXII2

32005202

32320657

59,80

LEXXM

70674913

80

LEXXM1

23924703

80

LEXXM2

28282174

80

LEXXM3

82567477

80

LEXXM4

52053731

80

LEXXM5

16058487

80

LEXXM6

53334113

80

LEXXMM

37694855

80

LEXXST

68105086

LEXXST2

19441321

LEXXST3

23757267

LEXXST4

16472154